Endoscopic Ultrasound-guided Hepaticogastrostomy in a Seven-year-old Girl

Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is an effective biliary drainage procedure in adult cases with difficult biliary access. However, there have been no reports on this procedure being used in pediatric cases. We successfully performed EUS-HGS in a pediatric case with a surgic...

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Detalles Bibliográficos
Autores principales: Ishii, Shigeto, Koga, Hiroyuki, Saito, Hiroaki, Seo, Shogo, Ushio, Mako, Takahashi, Sho, Takasaki, Yusuke, Suzuki, Akinori, Ito, Koichi, Ochiai, Kazushige, Tomishima, Ko, Fujisawa, Toshio, Yamataka, Atsuyuki, Shiina, Shuichiro, Isayama, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790776/
https://www.ncbi.nlm.nih.gov/pubmed/35491132
http://dx.doi.org/10.2169/internalmedicine.9355-22
Descripción
Sumario:Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is an effective biliary drainage procedure in adult cases with difficult biliary access. However, there have been no reports on this procedure being used in pediatric cases. We successfully performed EUS-HGS in a pediatric case with a surgically altered anatomy. A standard convex-type echoendoscope and standard devices were used, and there were no device-related complications. The benefit of EUS-HGS for pediatric patients was avoidance of a percutaneous tube, which is difficult to maintain in active children. The accumulation of further cases and performance of a prospective study are warranted to standardize and expand the experience with this procedure.

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